- Molina Healthcare (TX)
- …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year… more
- Gentiva (Lubbock, TX)
- **Overview** We're looking for a **Patient Care Manager Senior** to join our team. You will report directly to the Executive Director or Administrator. You will ... of terminally ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, JCAHO, ACHC,… more
- Centene Corporation (Austin, TX)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... to competitive benefits including a fresh perspective on workplace flexibility. Performs care management duties to assess and coordinate all aspects of medical and… more
- US Physical Therapy (Houston, TX)
- …a **Contract Manager /Analyst.** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines of business. They will work directly with payors to negotiate key payor contracts for the organization and must be… more
- Houston Methodist (The Woodlands, TX)
- …services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and ... At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered...and role components + Knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… more
- Veterans Affairs, Veterans Health Administration (Fort Worth, TX)
- …level of health care provided by this agency. As the Program Manager /Clinical Director for an outpatient mental health team, the incumbent has broad program and ... Primary Purpose of the Position is: To serve as a Program Manager /Clinical Director and supervisory psychologist on an interdisciplinary, outpatient mental health… more
- UTMB Health (Richmond, TX)
- … Care Management UTMB Health Requisition # 2504302 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... Cluster Nurse Manager - Jester 3 Unit **Richmond, Texas, United...services in compliance with ACA standards and UTMB Correctional Managed Care systems policies and departmental procedures.… more
- Elevance Health (Grand Prairie, TX)
- …process and the ability to interpret and apply member contracts, member benefits, and managed care products are strongly preferred. + Prior managed ... Join us, and together we will drive the future of health care The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- Elevance Health (Houston, TX)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with… more
- CVS Health (Austin, TX)
- …direct reports + 3+ years care management experience including with a managed care organization + 3+ years of experience with personal computer, keyboard ... trainings (up to 20% travel estimated) **Preferred Qualifications** + Managed Care experience + Long Term Services...the regulations, standards, and policies which relate to Medicaid Care Management + Certified Case Manager (CCM)… more